Fig. 2: Seasonal influenza-like illness variability.

a Dark green states denote states with ILI less than their state-specific averages while pink states are states with ILI above their state-specific averages. 2015 was a mild flu season for the majority of states relative to their state-specific average ILI, while 2017 was an intense flu season for the majority of states, indicating that season-to-season effects can affect most of the country. Data unavailable for Florida. States displayed outside of the contiguous US are geographically not to scale. b State detrended ILI for the 2015 and 2017 flu seasons, where state detrended ILI is ILI for a state/season minus ILI for that state averaged over all seasons. Positive/negative state detrended ILI means ILI for that season was above/below the state-specific average, respectively. Black line is season-specific national average wILI for reference.